Beverly J Ricker
MD | Pediatrics | Female
Beverly J Ricker, MD is a Two Rivers, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Beverly J Ricker is
5300 Memorial Dr, Two Rivers, Wisconsin - 54241. She can be contacted on phone at
429-075-9853.
Beverly J Ricker is a sole proprietor of her business.
NPI number (Unique professional ID) for Beverly J Ricker is
1164476180 which was assigned by NPPES on 22 May, 2006 and it was last updated on 14 May, 2020.
Beverly J Ricker license number is
33359 for Pediatrics (208000000X) in Wisconsin.
Beverly J Ricker is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Beverly J Ricker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Beverly J Ricker |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Beverly J Ricker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5300 Memorial Dr
Two Rivers, WI, 54241
United States |
|---|
| Phone Number : | 429-075-9853 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164476180 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2006 |
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| Last Updated On : | 14 May, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beverly J Ricker are as mentioned. Primary taxonomy code for Beverly J Ricker, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 33359 | WI |
| 208000000X | Pediatrics | No | 9937 | ND |
Legacy Identifiers:
Other legacy medical identifiers of Beverly J Ricker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 972S0RI | Other | ND | MNBS # |
| 1203228 | Other | ND | MEDICA # |
| 1203229 | Other | ND | MEDICA # |
| 13381 | MEDICAID | ND | |
| 972S1RI | Other | ND | MNBS # |
| 972S2RI | Other | ND | MNBS # |
| 972S3RI | Other | ND | MNBS # |
| DA9061008851 | Other | ND | PREFERRED ONE # |
| 1203226 | Other | ND | MEDICA # |
| 1203227 | Other | ND | MEDICA # |
| 40858 | Other | ND | LHS/BANNERHEALTH # |
| 108971 | Other | ND | UCARE # |
| 25404 | Other | ND | NDBS # |
| 32019300 | MEDICAID | WI | |
| 647218400 | MEDICAID | ND | |
| 24202 | Other | ND | AMERICA'S PPO/ARAZ # |
| 25406 | Other | ND | NDBS # |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
401 3RD ST SE,
JAMESTOWN, ND, 58401-4247
United States | JAMESTOWN, ND | 701-253-5300 |
401 3RD ST SE,
JAMESTOWN, ND, 58401-4247
United States | JAMESTOWN, ND | 701-253-5300 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5300 Memorial Dr
Two Rivers, WI, 54241-3923
United States |
|---|
| Phone Number : | 429-075-9853 |
|---|
Business Location:
Patients can refer following map for directions to
Beverly J Ricker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.